Individual
HANNAH ELISE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2762 N LINCOLN AVE, CHICAGO, IL 60614-2425
(844) 247-7222
(847) 348-3706
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(847) 807-3717
(847) 348-3706
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27809
IL
Other
Enumeration date
09/28/2017
Last updated
01/10/2020
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